EQUIPMENT MAINTENANCE AGREEMENT Chambers Corporation agrees to provide maintenance service including up to two maintenance calls annually and interim calls as required at the installation address specified above on the equipment listed. All charges specified are those currently in effect and are subject to change only at the time of subsequent annual renewal. If the charges are increased, the customer may, as of the effective date of such increase, terminate this Agreement by written notice to Chambers Corporation. Otherwise, the new charges shall become effective upon the date specified in the renewal invoice. This Agreement is limited to equipment regularly operated during a single eight hour shift per day, and all Chambers Corporation calls hereunder are restricted to the normal working hours of Chambers Corporation. To cover increased maintenance costs, if any piece of equipment is regularly operated during more than one eight hour shift per day, an increase in Annual Rate will apply as follows: Two Shifts 50% Three Shifts 100%. All service commenced outside of Chambers Corporation's normal working hours will be charged at published rates for service time and expense only. The following services are included: [fill in services here] Optimum performance of the equipment covered by this Agreement can be expected only if supplies provided by, or meeting the specifications of Chambers Corporation are used. Chambers Corporation shall have full and free access to the equipment to provide service thereon. If persons other than Chambers Corporation's representatives perform maintenance or repairs, and as a result further work is required by Chambers Corporation to restore the equipment to operating condition, such repairs will be billed at Chambers Corporation's published time and material rates then in effect. For service as specified above on the equipment listed, the undersigned agrees to pay in advance the total annual charge specified below to Chambers Corporation, in accordance with the terms specified on the face of the invoice. There shall be added to the charges provided for in this Agreement amounts equal to any taxes, however designated, levied or based on such charges or on this Agreement, or on the services rendered or parts supplied pursuant hereto, including State and Local privilege or excise taxes based on gross revenue, and any taxes or amounts in lieu thereof paid or payable by Chambers Corporation in respect of the foregoing, exclusive, however, of taxes based on net income. The undersigned represents that he is the Owner of the equipment, or that he has the Owner's authority to enter into this agreement. This Agreement is subject to acceptance by Chambers Corporation, at its Home Office. It takes effect on the date written above and continues in effect for one year and will remain in force thereafter, with automatic annual renewal at then prevailing rates, until cancelled in writing by either party. If cancelled, the unearned portion of any advance payment will be credited to the customer. Date ______________ ______________________ By ______________________ Date ______________ ______________________ By ______________________